Ulcers in the mouth can be a cause of severe recurrent pain. The various ulcers can be grouped as recurrent oral aphthae, acute herpetic gingival stomatitis, acute candidiasis, and acute necrotizing ulcerative gingivitis. Aphthous ulcer is recurrent, stress induced, and painful. Diagnosis is clinical. A large aphthous ulcer is designated a major aphthous and heals by scarring.
Viral infection due to herpes simplex virus I occurs in children and presents with vesicles which rupture and cause ulcers. These are painful during the course of the disease. Affected children are prone to dehydration, and hence prompt attention to monitor the child during the acute phase is necessary.
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